{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T15:39:22Z","timestamp":1792337962908,"version":"4.4.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T00:00:00Z","timestamp":1549411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Recent studies have suggested that fibromyalgia is inaccurately diagnosed in the community, and that ~75% of persons reporting a physician diagnosis of fibromyalgia would not satisfy published criteria. To investigate possible diagnostic misclassification, we compared expert physician diagnosis with published criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a university rheumatology clinic, 497 patients completed the Multidimensional Health Assessment Questionnaire (MD\u2010HAQ) and the 2010 American College of Rheumatology preliminary diagnostic criteria modified for self\u2010administration during their ordinary medical visits. Patients were evaluated and diagnosed by university rheumatology staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 497 patients, 121 (24.3%) satisfied the fibromyalgia criteria, while 104 (20.9%) received a clinician International Classification of Diseases (ICD) diagnosis of fibromyalgia. The agreement between clinicians and criteria was 79.2%. However, agreement beyond chance was only fair (\u03ba = 0.41). Physicians failed to identify 60 criteria\u2010positive patients (49.6%) and incorrectly identified 43 criteria\u2010negative patients (11.4%). In a subset of 88 patients with rheumatoid arthritis (RA), the kappa value was 0.32, indicating slight to fair agreement. Universally, higher polysymptomatic distress scores and criteria\u2010based diagnosis were associated with more abnormal MD\u2010HAQ clinical scores. Women and patients with more symptoms but fewer pain areas were more likely to receive a clinician's diagnosis than to satisfy fibromyalgia criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is considerable disagreement between ICD clinical diagnosis and criteria\u2010based diagnosis of fibromyalgia, calling into question ICD\u2010based studies. Fibromyalgia criteria were easy to use, but problems regarding clinician bias, meaning of a fibromyalgia diagnosis, and the validity of physician diagnosis were substantial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr.23731","type":"journal-article","created":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T03:12:27Z","timestamp":1549422747000},"page":"343-351","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":62,"title":["Diagnosis of Fibromyalgia: Disagreement Between Fibromyalgia Criteria and Clinician\u2010Based Fibromyalgia Diagnosis in a University Clinic"],"prefix":"10.1002","volume":"71","author":[{"given":"Frederick","family":"Wolfe","sequence":"first","affiliation":[{"name":"Arthritis Diseases Center, National Data Bank for Rheumatic Diseases, and University of Wichita School of Medicine  Wichita Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Schmukler","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakeel","family":"Jamal","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1811-2417","authenticated-orcid":false,"given":"Isabel","family":"Castrejon","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn A.","family":"Gibson","sequence":"additional","affiliation":[{"name":"Liverpool Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Kansas University Medical Center  Wichita"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winfried","family":"H\u00e4user","sequence":"additional","affiliation":[{"name":"Klinikum Saarbr\u00fccken gGmbH  Saarbr\u00fccken Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore","family":"Pincus","sequence":"additional","affiliation":[{"name":"Rush University Medical Center  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2011.05.055"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-31508-9_8"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315620160"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1306759"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.170095"},{"key":"e_1_2_6_7_1","first-page":"1081","article-title":"Nonarticular rheumatism","volume":"19","author":"Hench PK","year":"1976","journal-title":"Arthritis Rheum"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0049-0172(81)90096-2"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330203"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20140"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.100594"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.08.012"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-13-00419"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050106"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001500"},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","unstructured":"ReedM HerrmannM.The difficulties in developing and implementing fibromyalgia guidelines: new insights into fibromyalgia. InTech.com: InTech;2012.","DOI":"10.5772\/36495"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000149092.94171.9c"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0138024"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0157235"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnx271"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-356"},{"key":"e_1_2_6_22_1","unstructured":"WolfeF.Criteria for fibromyalgia? What is fibromyalgia? Limitations to current concepts of fibromyalgia and fibromyalgia criteria. Clin Exp Rheumatology2017;35Suppl 105:3\u20135."},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.39851"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/papr.12583"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0141076817702530"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00482-011-1079-3"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2010.05.003"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199910)42:10<2220::AID-ANR26>3.0.CO;2-5"},{"key":"e_1_2_6_29_1","first-page":"369","article-title":"Pain extent and diagnosis: development and validation of the regional pain scale in 12,799 patients with rheumatic disease","volume":"30","author":"Wolfe F","year":"2003","journal-title":"J\u00a0Rheumatol"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780380612"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2017.02.383"},{"key":"e_1_2_6_32_1","volume-title":"Stata statistical software: release 15.0","year":"2017"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_6_34_1","unstructured":"KleinD.KAPPAETC: Stata module to evaluate interrater agreement. Statistical software components. URL:https:\/\/EconPapers.repec.org;2018."},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1348\/000711006X126600"},{"key":"e_1_2_6_36_1","first-page":"1","article-title":"Incidence of myalgic encephalomyelitis\/chronic fatigue syndrome in a large prospective cohort of US nurses","author":"Palacios N","year":"2017","journal-title":"Fatigue: Biomedicine, Health & Behavior"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0203755"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21931"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.21533"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2013.96"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0b013e32834a1091"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2004.012781"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0030191"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.046961"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-001632"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2008.01814.x"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-102"}],"container-title":["Arthritis Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.23731","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acr.23731","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.23731","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T17:33:00Z","timestamp":1759426380000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr.23731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,6]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1002\/acr.23731"],"URL":"https:\/\/doi.org\/10.1002\/acr.23731","archive":["Portico"],"relation":{},"ISSN":["2151-464X","2151-4658"],"issn-type":[{"value":"2151-464X","type":"print"},{"value":"2151-4658","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,6]]},"assertion":[{"value":"2018-04-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}